Provider Demographics
NPI:1083259832
Name:SCHOLNICOFF, HEATHER LEE (LMHC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEE
Last Name:SCHOLNICOFF
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 PARKWAY CT
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3068
Mailing Address - Country:US
Mailing Address - Phone:561-866-0417
Mailing Address - Fax:
Practice Address - Street 1:2320 S SEACREST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6516
Practice Address - Country:US
Practice Address - Phone:561-518-7950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22441101YM0800X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health